Assuntos
Mediastinoscopia/métodos , Doenças Pleurais/diagnóstico , Cirurgia Torácica Vídeoassistida/métodos , Toracoscopia/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto JovemRESUMO
The authors report the case of 46-year-old man with recurrent hemoptysis. Bronchoscopy revealed a submucosal tumor protruding into the tracheal lumen. Transbronchial biopsy failed to obtain a conclusive diagnosis; only surgery allowed complete resection of the tumor and confirmed the diagnosis of tracheal mucoepidermoid carcinoma. We discuss the unusual submucosal presentation of this tumor, and the contribution of surgery for diagnosis and therapy.
Assuntos
Carcinoma Mucoepidermoide/diagnóstico , Neoplasias da Traqueia/diagnóstico , Biópsia , Broncoscopia , Carcinoma Mucoepidermoide/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Neoplasias da Traqueia/cirurgiaRESUMO
Mature teratoma is the most common primary germ cell tumor in the mediastinum. On rare occasions, cystic teratomas rupture in adjacent structures, such as pleural space, pericardium, lung or tracheobronchial tree. We present a case of a mediastinal mature cystic teratoma in 16-year-old female with complex rupture into the lung, bronchus and skin. Mature mediastinal teratoma fistulized to the skin has not been previously described.
Assuntos
Brônquios/patologia , Fístula/etiologia , Pneumopatias/etiologia , Neoplasias do Mediastino/complicações , Dermatopatias/etiologia , Teratoma/complicações , Adolescente , Brônquios/cirurgia , Feminino , Fístula/patologia , Fístula/cirurgia , Humanos , Pneumopatias/patologia , Pneumopatias/cirurgia , Neoplasias do Mediastino/patologia , Neoplasias do Mediastino/cirurgia , Prognóstico , Radiografia Torácica , Ruptura Espontânea , Dermatopatias/patologia , Dermatopatias/cirurgia , Teratoma/patologia , Teratoma/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Intratracheal ectopic thyroid tissue is a rare finding that can cause airway obstruction. The symptoms can easily be confused with those of bronchial asthma. We describe the case of a 30-year-old woman with subglottic thyroid tissue who had been misdiagnosed earlier with bronchial asthma. After the correct diagnosis was established, the intratracheal nodule was removed by segmental tracheal resection extended to the anterior arch of cricoid ring, and thyrotracheal anastomosis was performed by cervicotomy. Currently, the patient is free of disease and complaint. We also discuss the clinical features and management of intratracheal thyroid tissue.